Rhinoplasty of my very special nose (photo)

I have a dream from many many years to have nose that looks pleasant and nice to me as well others. I have a very big nose with bulbous tip. My nose skin is very thick and oily. Its very confusing to find a doctor to perform surgery of any of this kind of nose. I attached my pictures if any suggestion Please advice me.

Doctor Answers 8

Not An Easy Case, But Rhinoplasty Will Improve Your Appearance

January 7th, 2014

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Dear Jimmie44180;

Your
concerns regarding the suitability for rhinoplasty are correct.Yes, the nose is big, although it is wider
more than tall, and that is important.Yes, you have a bulbous tip and, frankly, the floor of the nostrils, or
sill, is very wide.However, most noses
can be improved.Yes, your skin is thick
and oily, but there are other patients with thick and oily skin who have
had improvement, so that does not rule it out.The photos you submitted are very helpful.

Here are
what I consider the important points to be considered:First, the tip is significantly wider than
the bridge, according to the photos.That means the tip has to be sculptured.Tip sculpture is a little more challenging when the cartilage is covered
with thick, oily skin, but nonetheless, it is possible to narrow that tip.

Also, after surgery, depending on the result
and perhaps the need to further thin the tip, this can often be done with the
help of cortisone injections.That does
not take place until several months after surgery, but it is very helpful in
people with thick skin.The other
important thing is that the floor of your nostrils are very wide and, frankly,
if the outer walls of the nostrils are brought in (the wings), that would go a
long way to narrow your nose because, frankly, the bottom of your nose, as it
attaches to the upper lip, is what is causing the nose to look particularly
wide.The proportion and width of your
nose to the width of your face at that level is not acceptable.

Now,
narrowing of the nostrils, the so-called Weir procedure, does require an
external incision that runs along the floor of the nostril and then outside
into the natural groove between the attachment of the nostril to the lip and
cheek, but this is an accepted procedure and works very nicely.

I think
you should do some good investigations.You need to have consultations, but before you go for consultations,
study up.You need to do a lot of
homework.I have examples on my website
of similar situations.I have examples
in my books, and certainly, other practices have similar examples.

Frankly,
you are best served if you will see surgeons whose practice is slanted towards
nose work.It is very important to see
someone who has a long track of experience doing difficult cases as yours, but
I would not despair.You just need to
have as much education as possible and spend time with surgeons whose level of
experience and talent match the task at hand.

Rhinoplasty with thick skin

January 6th, 2014

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Even though you have thick skin you can have improvement with rhinoplasty by the right surgeon. You need to adjust your expections and understand you probably will not reach a thin nose. Donald R. Nunn MD Atlanta Plastic Surgeon.

Ethnic Rhinoplasty

January 6th, 2014

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Hi,

Your nose is typically ethnic with thick and oily skin. You should seek surgeons that have alot of experience with this type of surgery. Below is a link to videos that describe treatment of a ethnic noses and bulbous tips.

Rhinoplasty Pictures

Potential thick skin rhinoplasty results

January 5th, 2014

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I agree with my colleagues that your nose can be refined. However, thick skin will lead to results that might be less than what you are hoping for. It is very important to have realistic expectations prior to rhinoplasty. It is truly your chosen surgeon's responsibility to give you a realistic description of what you can expect from surgery.

Rhinoplasty of a bulbous tip?

Your nose can be cosmetically improved with a rhinoplasty, but you must be realistic about the potential outcome with the thickness of your nasal skin and underlying nasal anatomy.

Keep in mind that following the exact advice from a surgeon on
this or any other website who proposes to tell you what to do based on two
dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon certified by the American
Board of Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are comfortable with. You should
discuss your concerns with that surgeon in person.

Rhinoplasty of my very special nose

January 4th, 2014

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While you do have have very thick skin, the tip, alar base, and the nose as a whole can be refined.

Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results.

Bulbous Tip

January 4th, 2014

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You are a great candidate for nasal tip surgery to define and narrow the nasal tip. Your thick oily skin can not be changed but by narrowing the nasal tip infrastructure, you will have a significant modification of your nose. As it stands now, your wide tip is out of proportion to your nasal bones. Consult a Board Certified Plastic Surgeon.

These answers are for educational purposes and should not be relied upon as
a substitute for medical advice you may receive from your physician. If you
have a medical emergency, please call 911. These answers do not constitute
or initiate a patient/doctor relationship.